Trauma to the portal venous system.

Southern Medical Journal
J Bostwick, H H Stone

Abstract

During a 16-year period, 47 wounds of the portal and/or superior mesenteric veins were encountered. Overall mortality was 57%. Survival was greatest in patients with injury to the superior mesenteric vein, wounds repairable by lateral phleborrhaphy, absence of associated major vascular trauma, and only transient or minimal hypovolemic shock. The majority of deaths were due to uncontrollable bleeding or sequelae of profound hemorrhagic shock. Limited follow-up of survivors has demonstrated a low patency rate at the site of venous repair, suggesting that mere ligation may be all that is necessary when lateral repair is impossible.

Citations

May 1, 1982·World Journal of Surgery·H H StoneM L Turkleson
May 1, 1980·Annals of Surgery·R W BusuttilW P Longmire
Dec 1, 1987·Annals of Surgery·R R IvaturyW M Stahl
Feb 1, 1977·Journal of Pediatric Surgery·H H Stone, J D Ansley
Aug 1, 1997·The Surgical Clinics of North America·J A Aucar, A Hirshberg
Jun 8, 2004·Vascular and Endovascular Surgery·Raul CoimbraSamir Rasslan
Dec 16, 2010·Vascular and Endovascular Surgery·Brett T PhillipsApostolos K Tassiopoulos

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